| |
301 Bridge Plz N, Fort Lee, NJ 07024-5059 | |
(201) 944-6440 | |
(201) 944-6441 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 301 Bridge Plz N, Fort Lee, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841490570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 27OA00632700 (New Jersey) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
301 Bridge Plz N, Fort Lee, NJ 07024-5059 Ph: (201) 944-6440 | 301 Bridge Plz N, Fort Lee, NJ 07024-5059 Ph: (201) 944-6440 |